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Fee For Service In Medicaid: Everything You Need To Know

WebThe Fee for service, also known as FFS, is a prevalent payment method for healthcare providers in the US. As Medicaid is a joint federal and state program, states may offer …

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What are revenue codes and how do they help in medical billing

WebRevenue codes are accompanied by procedure codes or CPT codes to indicate the kind of procedure or treatment a patient has undergone. Out of the hundreds of revenue codes, …

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What is the Maximum Allowable Charge in Medical Billing

WebIn simple words, the maximum allowable charge refers to the maximum amount for reimbursement of a particular medical procedure as fixed or allowed by the health …

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Understanding COBRA in Medical Billing: Eligibility Criterias

WebCOBRA is a complicated insurance plan with many aspects and guidelines involved in its design. Therefore one must understand its benefits and eligibility criterias to avoid any …

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Everything to Know About Upcoding In Medical Billing

WebIn simple words, upcoding is a criminal offense where a healthcare provider bills a payer, whether private, Medicaid, or Medicare, using a CPT (Current Procedural Terminology) …

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What is Assignment of Benefits in Medical Billing

WebThe term assignment of benefits (AOB) may be referred to as an agreement that transfers the health insurance claims benefits of the policy from the patient to the health care …

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What is the Difference between UB04 and CMS 1500

Web(888) 444 6041; 3838 N Sam Houston Pkwy E. Suite 430 Houston, TX. 77032; [email protected]

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What do Dual Health Plans offer

WebDual health plan goes beyond Medicaid and Original Medicare, giving extra benefits and features like dental coverage- dental x-rays, fluoride treatments. Other features would be …

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WHAT DOES CMS STAND FOR IN MEDICAL TERMS

WebUnderstanding the Centers for Medicare & Medicaid (CMS) working. CMS, previously known as the Health Care Financing Administration (HCFA), was a part of the Department of …

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Role and responsibilities of clearinghouse in Medical Billing

WebA clearinghouse is responsible for checking, scrubbing the medical claims for errors, and verifying if the claim is rightly processed by the payer. Once the claims are considered …

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What is a Legacy Number in Medical Billing

WebProvider Transaction Access Number (PTAN) or Medicare legacy number refers to the code assigned to the Medicare service providers. The purpose of the legacy number is to …

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What is a LOP in Medical Billing

WebA letter of protection (LOP) is a legal document designed to protect an individual’s right to get medical care if he/she has been injured due to the negligence of others. This …

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